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Jackie Judd talks with KHN's Julie Appleby about recommendations an Institute of Medicine panel will make to help the Department of Health and Human Services determine just what "essential benefits" insurers will have to cover in health law-mandated marketplaces.
Jackie Judd talks with KHN's Julie Appleby about recommendations an Institute of Medicine panel will make to help the Department of Health and Human Services determine just what "essential benefits" insurers will have to cover in health law-mandated marketplaces.
The Methodist Le Bonheur system and about 400 churches work together to make sure church members have social support when they go into the hospital and when they come out.
The new system will move many state residents into a publicly financed insurance program and pay hospitals and doctors a set fee to care for patients.
An annual survey has found that the average cost of a family health insurance plan rose 9 percent this year - triple the growth rate seen in 2010. KHN's Julie Appleby filed this story.
These pediatricians say they are worried about other patients in the waiting room, some of them too young to be immunized or with health problems that compromise their immune systems.
Six months after the state ended the adultBasic health coverage, only about 40 percent of the enrollees went to Medicaid or a limited benefit plan opened to them.
As federal officials draw up their list of requirements for essential health benefits under the overhaul, it's not clear whether they will include treatment mandates passed by many states.
KHN's Mary Agnes Carey and ABC News' Ariane de Vogue discuss today's oral arguments in the American Center for Law and Justice challenge to the health law.
The same pattern that has emerged in health insurance -- employers' shifting more costs onto workers' shoulders -- is occurring in disability coverage.
The real impact of reform will ultimately be measured by the health of the nation -- and by that measure, few decisions are more important than what is included in the essential benefit package. How this package takes shape will determine whether health reform delivers on its promise.
Current "one-size-fits-all" health plans, in which beneficiaries face the same out-of-pocket payment for every doctor visit, test and prescription drug, should be be replaced by plans based on the health benefit gained in the particular clinical circumstance. By using this nuance, health plans can offer more comprehensive and effective coverage while addressing the affordability of health insurance.
As implementation of the 2010 health law unfolds, one of the most important questions surrounds how he essential benefits package will be determined. The answer will have a significant impact on the cost of coverage, both inside and outside the law's insurance exchanges.
Stuart Taylor puts the chances at about 25 percent to 33 percent that the health law's individual mandate will be overturned, and adds that the court seems even less likely to sweep away the rest of the 975-page law.
Monday night's CNN/Tea Party Express debate among the Republican presidential candidates included discussion of Medicare, the health law, costs, the individual mandate and vaccines.
Data from a federal website show that denial rates routinely exceed 20 percent and often are much higher.
Some consumer and patient advocates worry that the administration is bending too much toward insurers and employers when it issues new health regulations.
With this key health law provision's constitutionality in question, Kaiser Health News asked six experts what alternative policy approaches might be used in its place.
A coaltion of Massachusetts public employee unions recognized that municipal health care costs were a problem and engaged with other stakeholders in the effort to develop a solution. In the end, nobody got they wanted and that's what a genuine compromise looks like.
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